| NPI | 1093033284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP118990) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18979) |
| 163W00000X Registered Nurse (Licence: TX 716269) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2024-09-11 |